POLICY

Effective April 1, 2011, all durable medical equipment (DME) claims will require a modifier specifying whether the equipment is for rental or purchase for codes E0001-E9999 or K0001-K9999. Modifier NU (New equipment/Purchase) or Modifier RR (Rental) must be used on all durable medical equipment (DME) claims. Durable medical equipment(DME) claims that are submitted without the appropriate modifier will be rejected.

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POLICY GUIDELINES

The coding guidelines outlined in Coding Policy should not be used in lieu of the Member's specific benefits plan language.

POLICY HISTORY

4/8/11-Policy revised. Phrase, "for codes E0001-E9999 or K0001-K9999" was added to the first sentence. Sentence, "All supplies must be filed with the NU modifier only." was removed. No other changes were made.